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Phlebology

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https://www.readbyqxmd.com/read/30626269/compression-therapy-in-lymphedema-between-past-and-recent-scientific-data
#1
Giovanni Mosti, Attilio Cavezzi
AIM: To extrapolate and discuss the scientific data on compression in lymphedema treatment, so to review old and innovative concepts about pressure, stiffness and other interplaying factors related to its efficacy and comfort. MATERIAL AND METHODS: Narrative review based on search in Medline/Google Scholar through key-words related to compression in lymphedema. RESULTS: Currently available literature lacks relevant details about data on protocol, devices, techniques, interface pressure, stiffness, as well as biases are represented by the different descriptions to present the outcomes...
January 9, 2019: Phlebology
https://www.readbyqxmd.com/read/30624132/challenges-in-advancing-the-laser-fiber-through-the-great-saphenous-vein-during-endovenous-ablation-and-strategies-to-overcome-them
#2
Vitor C Gornati, Karen Utsunomia, Nicos Labropoulos
OBJECTIVES: To determine the incidence of possible obstacles and patients' characteristics when performing endovenous laser treatment (EVLT) and suggestions to improve the ability to overcome them. METHOD: A prospective study with 215 limbs treated with EVLT. A sequence of maneuvers was performed to move the fiber forward when difficulty was found and if unsuccessful another entry site was punctured. RESULTS: In 29 of 215 (13.48%) limbs, resistance was encountered while navigating the fiber; 16 (55...
January 9, 2019: Phlebology
https://www.readbyqxmd.com/read/30621525/seeking-consensus-amongst-uk-based-interventional-radiologists-on-the-imaging-diagnosis-of-pelvic-vein-incompetence-in-women-with-chronic-pelvic-pain-a-modified-delphi-study
#3
David M Riding, Emma J Pond, Charles McCollum, Ann L Caress
OBJECTIVES: This modified Delphi study of vascular interventional radiologists sought to achieve consensus statements on the optimal imaging strategy and definitions of important imaging diagnostic features in women with pelvic vein incompetence. METHOD: The UK-based interventional radiologists with the experience of investigating and treating pelvic vein incompetence responded to up to three rounds of online questionnaires. RESULTS: Three consensus statements emerged from 27 responders: (1) catheter venography is the 'gold standard' investigation for the diagnosis of pelvic vein incompetence; (2) pelvic vein incompetence should be defined as 'retrograde flow along the ovarian or internal iliac veins'; (3) pelvic varices should be defined as 'tortuous, often dilated, vulval, adnexal, para-uterine veins arising from incompetent internal iliac or ovarian veins...
January 8, 2019: Phlebology
https://www.readbyqxmd.com/read/30621524/frequency-of-use-of-elastic-compression-stockings-in-patients-with-chronic-venous-disease-of-the-lower-extremities
#4
Marco Antonio Ayala-García, Jorge Sanchéz Reyes, Norberto Muñoz Montes, Eduardo Guaní-Guerra
OBJECTIVE: To determine the frequency of use of elastic compression stockings in patients with lower extremity chronic venous disease. METHODS: An explorational, prospective, transversal, observational, descriptive, analytical study including 168 patients was performed. We identified the proportion of patients using elastic compression stockings. The odds ratio (OR) was used to determine the relation between elastic compression stocking use and previous medical attention for chronic venous disease...
January 8, 2019: Phlebology
https://www.readbyqxmd.com/read/30621523/the-use-of-high-venous-ligation-as-an-adjunct-to-endovenous-therapy-in-the-management-of-great-saphenous-vein-incompetence-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#5
Thomas M Aherne, Mekki Medani, Shaheel Sahebally, Elrasheid Kheirelseid, Edward Mulkern, Ciaran McDonnell, Stewart R Walsh, Martin K O'Donohoe
BACKGROUND: In recent years, endovenous intervention has emerged as a minimally invasive alternative to open venous surgery. However, endovenous intervention does not formally disconnect the deep and superficial venous systems and it is hypothesized that recurrence may be greater in the absence of high venous ligation. This study aims to compare the efficacy of a hybrid endovenous approach with adjuvant high venous ligation and standard operative intervention in the management of great saphenous incompetence...
January 8, 2019: Phlebology
https://www.readbyqxmd.com/read/30616499/effects-of-compression-therapy-and-venous-surgery-on-tissue-oxygenation-in-chronic-venous-disease
#6
Nathaniel Chiang, Odette Rodda, Simone Oldham, Jamie Sleigh, Thodur Vasudevan
OBJECTIVES: This study aimed to determine if compression therapy or surgical intervention improves tissue oxygenation in chronic venous disease. METHOD: Thirty lower limbs with chronic venous disease were placed into three groups, being compression, open surgical and endovenous ablation. Tissue oxygenation was assessed using a hyperspectral transcutaneous oxygen measurement system. Measurements were recorded at baseline and 28 days following therapy. RESULTS: Fourteen patients completed the study; therefore, the cohort was re-categorised into two groups: compression therapy and surgical...
January 7, 2019: Phlebology
https://www.readbyqxmd.com/read/30595100/mechanochemical-ablation-for-the-treatment-of-superficial-venous-incompetence-a-cohort-study-of-a-single-centre-s-early-experience
#7
Abduraheem H Mohamed, Clement Leung, Tom Wallace, Sean Pymer, Amy Harwood, George Smith, Daniel Carradice, Ian C Chetter
BACKGROUND: Mechanochemical ablation is an innovative non-thermal method of treating symptomatic axial superficial venous incompetence. This is a single-centre cohort study aiming to investigate the technical efficacy and clinical effectiveness at one year. METHODS: Patients with primary, unilateral, symptomatic axial incompetence were offered treatment with mechanochemical ablation using ClariVein® with 1.5% sodium tetradecyl sulphate. Assessments including clinical examination, duplex ultrasound and patient-reported health-related quality of life were performed at baseline and weeks 1, 6, 26 and 52...
December 30, 2018: Phlebology
https://www.readbyqxmd.com/read/30582739/deep-venous-thrombosis-in-the-clinical-course-of-pulmonary-embolism
#8
Natalia Stoeva, Milena Staneva, Galina Kirova, Rumiana Bakalova
OBJECTIVES: The aim of the study is to find how concomitant deep venous thrombosis (DVT) changes the clinical course of pulmonary embolism. METHODS: Three hundred and five patients with pulmonary embolism were examined and grouped into DVT and non-DVT groups. Both groups were compared with regard to demography, predisposing factors, clinical signs, thrombotic burden, and one-month mortality rate. RESULTS: The patients with DVT had a more severe clinical presentation: higher heart rate (94...
December 24, 2018: Phlebology
https://www.readbyqxmd.com/read/30582738/relevance-of-flexibility-versus-radial-force-in-rigid-versus-more-flexible-venous-stents
#9
Timme Maj van Vuuren, Mark Af de Wolf, Cees Ha Wittens
INTRODUCTION: Deep venous stenting has gained increasing interest. More flexible venous stents are thought to gain superior clinical outcomes. This research evaluated the patency and clinical outcomes between more rigid stents and more flexible stents. MATERIAL AND METHODS: The Venous Clinical Severity Score, Villalta, complication rates and patency rates were evaluated. The more rigid stents included the Sinus XL, the Veniti VICI and the Sinus Obliquus. The flexible group included the Zilver Vena or the Sinus Venous stents...
December 24, 2018: Phlebology
https://www.readbyqxmd.com/read/30567471/significant-differences-in-patients-with-a-complete-insufficiency-of-the-great-versus-small-saphenous-vein
#10
Katarzyna Pochec, Dominic Mühlberger, Thomas Hummel, Markus Stücker, Stefanie Reich-Schupke
OBJECTIVES: Most studies on diagnostics and therapy of saphenous veins focus on great saphenous vein or sum up great and small saphenous vein. This study compares patients with an insufficiency of the great saphenous vein versus small saphenous vein. METHODS: Prospective study including 50 patients with untreated insufficiency of the great saphenous vein or small saphenous vein, respectively. Patients got a standardised phlebological examination and filled a vein-specific life quality questionnaire (SQOR-V)...
December 19, 2018: Phlebology
https://www.readbyqxmd.com/read/30541415/toenail-alterations-in-chronic-venous-disease-patients-are-not-always-of-mycotic-origin
#11
Vid Bajuk, Nada Kecelj Leskovec, Tanja Planinšek Ručigaj, Aleksandra Bergant Suhodolčan, Mateja Dolenc-Voljč
OBJECTIVE: The prevalence of toenail alterations in chronic venous disease has only rarely been studied. We aimed to establish the frequency and clinical characteristics of toenail onychomycosis in chronic venous disease. METHODS: We included 80 adult patients, in all stages of chronic venous disease. Onychomycosis was confirmed by mycological examination. The clinical type of onychomycosis and the onychomycosis severity index were determined. Clinical characteristics of non-fungal nail changes were also analyzed...
December 12, 2018: Phlebology
https://www.readbyqxmd.com/read/30514166/quality-of-life-tools-reflect-disease-severity-but-can-they-be-improved
#12
Matthew Tan, Sarah Onida, Alun H Davies
No abstract text is available yet for this article.
December 4, 2018: Phlebology
https://www.readbyqxmd.com/read/30472920/current-practice-in-treating-chronic-venous-disease-by-canadian-vascular-surgeons
#13
Gary K Yang, Jerry C Chen
OBJECTIVE: To evaluate the practice patterns and interests of vascular surgeons in Canada in the treatment of chronic venous disorder. METHODS: A web-based 19-question survey was sent to 155 active members of the Canadian Society for Vascular Surgery. Questions assessed training background, interest in venous disease, practice site, venous treatments offered, and obstacles to therapy. RESULTS: A total of 64 responses (41%) were acquired. Respondents were roughly equal from academic (55%) and community (45%) sites with an even distribution of years in practice...
November 25, 2018: Phlebology
https://www.readbyqxmd.com/read/30466354/patient-reported-outcomes-of-endovenous-superficial-venous-ablation-for-lower-extremity-swelling
#14
William Shutze, Ryan Shutze, Paul Dhot, Gerald O Ogola
OBJECTIVE: To evaluate the effect of endovenous ablation in patients presenting with leg swelling. METHODS: We identified Clinical, Etiology, Anatomy, Pathophysiology (CEAP) clinical class 3 (C3) patients undergoing endovenous ablation from 21 January 2005 to 19 March 2015 with an 810-nm or 1470-nm laser. Patients were surveyed regarding the degree of edema, use of compression stockings, and satisfaction with the procedure. RESULTS: A total of 1634 limbs were treated by endovenous ablation for incompetent saphenous veins with or without adjunctive segmental varicose vein microphlebectomy...
November 22, 2018: Phlebology
https://www.readbyqxmd.com/read/30463472/effects-of-the-oxidative-stress-and-genetic-changes-in-varicose-vein-patients
#15
Devrim Saribal, Eyup Murat Kanber, Fatma Sinem Hocaoglu-Emre, Mehmet C Akyolcu
BACKGROUND: Etiology of the varicose veins is still partly known. It has been proposed that varicose veins formation might be a cause of the oxidative stress and/or cause from genetical reasons. METHOD: The levels of antioxidant defense system enzymes, superoxide dismutase, catalase, glutathione peroxidase, glutathione S-transferase, and an oxidative stress indicator, malondialdehyde, were measured in saphenous vein samples of varicose veins patients. Additionally, genetical polymorphism of glutathione S-transferase theta-1 has been studied...
November 21, 2018: Phlebology
https://www.readbyqxmd.com/read/30453827/novel-subcutaneous-low-molecular-weight-heparin-injection-technique-to-reduce-post-injection-bruising
#16
Sommapun Jueakaew, Rattana Piancharoensin, Natchayakorn Pinkesorn, Sarunya Thippayarom, Nuttawut Sermsathanasawadi
OBJECTIVE: To investigate the efficacy of a novel low-molecular-weight heparin injection technique compared to the standard technique relative to bruising incidence, bruise size, and pain. METHODS: A randomized controlled trial was conducted in 44 patients with acute deep vein thrombosis. Patients who were randomized into the control group received a 10-s duration injection with immediate needle withdrawal, whereas study group patients received a 30-s duration injection with a 10-s pause before needle withdrawal...
November 19, 2018: Phlebology
https://www.readbyqxmd.com/read/30449246/in-response-to-new-data-for-venous-thromboembolism-in-patients-with-small-cell-lung-cancer-a-review
#17
Anil Kumar
No abstract text is available yet for this article.
November 18, 2018: Phlebology
https://www.readbyqxmd.com/read/30403154/comparison-of-cyanoacrylate-closure-and-radiofrequency-ablation-for-the-treatment-of-incompetent-great-saphenous-veins-36-month-outcomes-of-the-veclose-randomized-controlled-trial
#18
Nick Morrison, Raghu Kolluri, Michael Vasquez, Monte Madsen, Andrew Jones, Kathleen Gibson
OBJECTIVE: To evaluate the 36-month efficacy and safety of cyanoacrylate closure for the treatment of incompetent great saphenous veins in comparison with radiofrequency ablation. METHODS: In this multicenter, prospective, randomized controlled trial, 222 symptomatic subjects with incompetent great saphenous veins were assigned to either cyanoacrylate closure or radiofrequency ablation. The primary endpoint, complete closure of the target great saphenous vein, was determined using duplex ultrasound examination starting from three-month visit...
November 7, 2018: Phlebology
https://www.readbyqxmd.com/read/30403153/response-to-the-letter-to-the-editor-new-data-for-venous-thromboembolism-in-patients-with-small-cell-lung-cancer-a-review
#19
Evangelos Dimakakos, Konstantinos Livanios, Ioannis Gkiozos, Adriani Harpidou, Eleutheria Ntalakou, Llias Kainis, Konstantinos Syrigos
No abstract text is available yet for this article.
November 7, 2018: Phlebology
https://www.readbyqxmd.com/read/30394848/response-to-commentary-on-pelvic-venous-reflux-in-males-with-varicose-veins-and-recurrent-varicose-veins
#20
Mark S Whiteley, Emma B Dabbs, Eluned L Davis, Previn Diwakar
No abstract text is available yet for this article.
November 4, 2018: Phlebology
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